Piltcher-da-Silva Rodrigo, Sasaki Vivian Laís, Felisberto Dóroty Eva Garcia, Bodanese Beatriz Carolina Schuta, Piltcher-Recuero Mariana, Bodanese Bianca Vitória Schuta, Bettini Luiz Francisco Cravo, Aguilera Yan Sacha Hass, da Costa Marco Raeder, Coelho Júlio Cezar Uili
General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil.
J Surg Case Rep. 2022 Nov 10;2022(11):rjac505. doi: 10.1093/jscr/rjac505. eCollection 2022 Nov.
Gallbladder agenesis (GA) is a rare congenital anomaly with conflicting epidemiology described in the literature. When present, it is misinterpreted as cholelitiasis, a highly prevalent condition. Nevertheless, surgeons and radiologists must be aware of it since it can lead to unnecessary invasive procedures. Diagnosis of GA is challenging due to the anatomical structures that sometimes resemble a shrunken gallbladder. We report the case of a 55-year-old man with preoperative diagnosis of cholelitiasis and further intraoperative find of GA. Since cholecystectomy is one of the most common surgeries worldwide, it demonstrates how relevant this case is to emphasize the need to recognize this diagnosis and be aware of its management to avoid unnecessary surgery.
胆囊缺如（GA）是一种罕见的先天性异常，文献中关于其流行病学的描述存在矛盾。当存在时，它常被误诊为胆结石，而胆结石是一种非常常见的病症。然而，外科医生和放射科医生必须对此有所了解，因为它可能导致不必要的侵入性手术。由于某些解剖结构有时类似萎缩的胆囊，GA的诊断具有挑战性。我们报告了一例55岁男性患者，术前诊断为胆结石，术中进一步发现为GA。由于胆囊切除术是全球最常见的手术之一，该病例凸显了认识这一诊断并了解其处理方法以避免不必要手术的重要性。
